Impact of Obesity on Pregnancies Undergoing Laser Therapy for Twin-Twin Transfusion Syndrome
| Autor: | Juliana S. Gebb, Nahla Khalek, Kendra Miller, Rosa Hwang, Christina Paidas Teefey, Shelly Soni, Kha Manh Tran, Julie S. Moldenhauer |
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| Rok vydání: | 2022 |
| Předmět: |
Embryology
Laser Coagulation Fetoscopy Placenta Pregnancy Outcome Obstetrics and Gynecology Gestational Age Fetofetal Transfusion General Medicine Pregnancy Pediatrics Perinatology and Child Health Pregnancy Twin Humans Female Radiology Nuclear Medicine and imaging Laser Therapy Obesity Retrospective Studies |
| Zdroj: | Fetal Diagnosis and Therapy. 49:340-346 |
| ISSN: | 1421-9964 1015-3837 |
| Popis: | Introduction: We sought to determine if maternal obesity, defined by body mass index (BMI) 30–34.9 or BMI ≥35, negatively impacts the technical aspects and pregnancy outcomes in women treated with selective laser photocoagulation of placental communicating vessels for twin-twin transfusion syndrome (TTTS). Methods: Retrospective review of women undergoing laser for TTTS from January 2010 to December 2021. Outcomes were stratified based on maternal BMI 2 or Fisher’s exact test for categorical variables and the Mann-Whitney U test for continuous variables with p < 0.05 being significant. Results: A total of 434 women underwent laser for TTTS during the study period. Of those, 274 (63%) had a BMI of 35 had longer operative and anesthesia times. There were no technical failures as a result of BMI ≥ 30 or 35. Conclusion: Using appropriate technical adjustments, outcomes for obese women undergoing laser for TTTS are similar to nonobese women, although patients with BMI ≥35 have longer operative and anesthesia times. |
| Databáze: | OpenAIRE |
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